MS-DRG v36 (FY 2019) Pre Lung Transplant | Turquoise Health MS-DRG Manual

Enhanced MS-DRG Definitions Manual

MS-DRG v36 (FY 2019) Definitions Manual • Pre • Lung Transplant

DRG Assignment Logic for Lung Transplant

All patients who qualify for Lung Transplant will be automatically grouped into DRG 007 - LUNG TRANSPLANT.

View the requirements to qualify for this subsection.

DRG	Name	Type
007	LUNG TRANSPLANT	Medical

Detailed Rules

The tables below list the codes required to qualify for this subsection according to the logic listed above. By matching the codes on a patient's account to those listed below, you can work out how a patient will be grouped by the MS-DRG grouper. However, sometimes this can be difficult to work out by hand. If you are looking for automated DRG grouping software that can be integrated into your workflow, please let us know.

OPERATING ROOM PROCEDURES

Codes in OPERATING ROOM PROCEDURES
Code	Description
0BYC0Z0	Transplantation of Right Upper Lung Lobe, Allogeneic, Open Approach
0BYC0Z1	Transplantation of Right Upper Lung Lobe, Syngeneic, Open Approach
0BYC0Z2	Transplantation of Right Upper Lung Lobe, Zooplastic, Open Approach
0BYD0Z0	Transplantation of Right Middle Lung Lobe, Allogeneic, Open Approach
0BYD0Z1	Transplantation of Right Middle Lung Lobe, Syngeneic, Open Approach
0BYD0Z2	Transplantation of Right Middle Lung Lobe, Zooplastic, Open Approach
0BYF0Z0	Transplantation of Right Lower Lung Lobe, Allogeneic, Open Approach
0BYF0Z1	Transplantation of Right Lower Lung Lobe, Syngeneic, Open Approach
0BYF0Z2	Transplantation of Right Lower Lung Lobe, Zooplastic, Open Approach
0BYG0Z0	Transplantation of Left Upper Lung Lobe, Allogeneic, Open Approach
0BYG0Z1	Transplantation of Left Upper Lung Lobe, Syngeneic, Open Approach
0BYG0Z2	Transplantation of Left Upper Lung Lobe, Zooplastic, Open Approach
0BYH0Z0	Transplantation of Lung Lingula, Allogeneic, Open Approach
0BYH0Z1	Transplantation of Lung Lingula, Syngeneic, Open Approach
0BYH0Z2	Transplantation of Lung Lingula, Zooplastic, Open Approach
0BYJ0Z0	Transplantation of Left Lower Lung Lobe, Allogeneic, Open Approach
0BYJ0Z1	Transplantation of Left Lower Lung Lobe, Syngeneic, Open Approach
0BYJ0Z2	Transplantation of Left Lower Lung Lobe, Zooplastic, Open Approach
0BYK0Z0	Transplantation of Right Lung, Allogeneic, Open Approach
0BYK0Z1	Transplantation of Right Lung, Syngeneic, Open Approach
0BYK0Z2	Transplantation of Right Lung, Zooplastic, Open Approach
0BYL0Z0	Transplantation of Left Lung, Allogeneic, Open Approach
0BYL0Z1	Transplantation of Left Lung, Syngeneic, Open Approach
0BYL0Z2	Transplantation of Left Lung, Zooplastic, Open Approach
0BYM0Z0	Transplantation of Bilateral Lungs, Allogeneic, Open Approach
0BYM0Z1	Transplantation of Bilateral Lungs, Syngeneic, Open Approach
0BYM0Z2	Transplantation of Bilateral Lungs, Zooplastic, Open Approach

About the Turquoise Health MS-DRG Manual Browser

We build tools and machine learning systems that simplify healthcare revenue cycle operations. We were frustrated with the formatting of the MS-DRG rules, so we built our own solution.

MS-DRG rules and ICD-10 CM/PCS codes are automatically parsed from CMS's MS-DRG data files. All content is provided strictly “AS IS” and may contain parsing errors. If you spot an error, please let us know.

We have converted the MS-DRG logic into fully structured, machine-readable data. If you need structured data versions of the MS-DRG manuals, we would love to talk with you.